Combination Exercise Training and Hyperlipidaemia


There have been a few studies employing combinations of aerobic and resistance training - combination exercise training.

No clear picture emerges from these studies. LeMura et al (2000) [1] included a Combined Exercise Training treatment in a study of lipid profiles in young women. After a 16 week intervention, involving 2 aerobic and 2 resistance exercise training session each week, this treatment merely produced increases in upper and lower body strength and had no significant effect on lipid profile attributes nor body composition.

Tambalis et al (2009) [2] reviewed 7 other studies that have included combined exercise training. Many of these studies involved elderly subjects. The study that had the most substantial impact on lipid and lipoprotein levels involved high frequency (6 sessions per week), long duration aerobic sessions (60 minutes) and a younger cohort of obese women. Whether this effect followed from the characteristics of the study group or the exercise regimen is unclear. Certainly the only other combined exercise studies to reveal significant effects on lipid profile characteristics involved relatively high intensity aerobic sessions.

Stensvold et al (2010) [3] included combination exercise training in a study of patients with metabolic syndrome. In a randomised controlled trial, the authors applied an Aerobic Interval Training, Strength Training and a Combination Training treatment to patients diagnosed with metabolic syndrome for a 12 week intervention period. Of the six risk factors for metabolic syndrome, the study protocol only resulted in a significant change in mean body mass.
Stensvold_2010_Figure_2.jpg
Estimated mean change (EMM) of the six risk factors defining metabolic syndrome. Changes are presented as percentages of the prevalue � 95% confidence intervals (CI). (sourced from Sensvold et al 2010 Figures 2)
HDL-C and triglycerides were not significantly affected but the trend is clear. Perhaps the most intriguing aspect of this study is the diversity of response to the exercise treatments.


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  1. ^ LeMura, L. M., Von Duvillard, S. P., Andreacci, J., Klebez, J. M., Chelland, S. A. & Russo, J. 2000. Lipid and lipoprotein profiles, cardiovascular fitness, body composition, and diet during and after resistance, aerobic and combination training in young women. European Journal of Applied Physiology, 82, 451-458. DOI: 10.1007/s004210000234
  2. ^ Tambalis, K., Panagiotakos, D. B., Kavouras, S. A. & Sidossis, L. S. 2009. Responses of Blood Lipids to Aerobic, Resistance, and Combined Aerobic With Resistance Exercise Training: A Systematic Review of Current Evidence. Angiology, 60, 614-632. DOI: 10.1177/0003319708324927
  3. ^ Stensvold, D., Tjønna, A. E., Skaug, E.-A., Aspenes, S., Stølen, T., Wisløff, U. & Slørdahl, S. A. 2010. Strength training versus aerobic interval training to modify risk factors of metabolic syndrome. Journal of Applied Physiology, 108, 804-810. DOI: 10.1152/japplphysiol.00996.2009